G Tube

G TUBE & GJ TUBE & J TUBE PLACEMENT/EXCHANGE

• Confirm with MD size of tube needed

• If needed, peel away sheaths are 4Fr sizes up from size of G-tube

Ex: 18Fr peel away for 14Fr G-tube, 20Fr peel away for 16Fr G-tube

• Will need sterile water to fill balloon – fill with roughly ¼ contrast and ¾ with water

• Enema cocktail – Omnipaque 300 150ml with 800ml lukewarm water

• 100% Contrast (hand injection) unless the Physician states otherwise.

• Normal Saline 0.9% 1000 ml

Angio pack

Turtle shell cover

18Fr G-tube introducer kit (comes with peel away, T-fasteners and wire)

14Fr G-tube

Bag (sterile core) (Vented G Tube bag – overstock cabinet)

Slit gauze

Hypofix tape

12cc syringe (extra)

Enfit drainage bag

Lidocaine Jelly

• If patient doesn’t have NG tube:

Bernstein catheter 65cm

3-way stopcock

3J guide wire 145cm

Blue bulb inflation (nurse cart – bottom drawer) or 60cc syringe

BRONZO:

Will stand on RT side

2 – 3 T Tacks with contrast syringe

DARE:

Wil stand on LT side

2 – 3 T Tacks with contrast syringe

No enema except in select cases

RAJ:

Stand on Lt side

Yueh needle

Will use wire in the kit (Amplatz guide wire 75cm- standby)

2 T-TACS with K-50 and contrast syringe

Stand on LT side

BRITTANY:

Stand on LT side

2 x t Tacks w/ K50 tubing & contrast syringe

1G Ancef (RN)

1mg Glucagon (RN)

Telescoping peel away sheath

EVAN:

SAMIR:

LYNNE:

2 T-TACS with K-50 and contrast syringe

Stand on LT side

Bronzo

• Inflation device
• Conquest balloon
• Slide G-tube over Conquest balloon
• Bronzo will inflate balloon inside tract and slide G-tube over as balloon is deflating
• Will stand on RT side or Lt side

Dare

• Will stand on LT side
• Amplatz 180cm
• Berenstein

Raj

Will stand on LT side

Brittany

• Will stand on LT side
• Amplatz guidewire 75cm

Lynne

• Will stand on LT side

GJ TUBE PLACEMENT/ J EXCHANGE

• Angio pack
• Turtle shell cover
• 12cc syringe
• GJ-Tube Introducer kit
• GJ Tube
• J Tube (for J Tube exchange)
• Bernstein catheter 65cm
• Stiff Glide wire 180cm
• Torque device (if needed)
• Slit Gauze
• Hypofix tape